Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»2378Научная статьяTHE QUESTION OF IMPROVING THE QUALITY OF PRIMARY HEALTH CARE IN MOSCOWLindenbratenA. L-GrishinaN. K-KovalevaV. V-ZagoruichenkoA. A-GolovinS. M-GridnevO. V-National Research Institute for Public HealthState Budgetary Healthcare Institution “City Hospital № 3 of Moscow Healthcare Department”151220154-515916714042022Copyright © 2015,2015On the basis of available information, the analysis of reforming the primary health care in the capital's health, as well as evaluation of the preliminary results, to identify both advantages and possible disadvantages and shortcomings with a view to leveling and thus improve the quality of the organization of primary health care in the capital. The study used the following methods: the study and generalization of experience, statistical, sociological, economic, analytic method comparative analysis. The study was conducted on the basis of the medical organizations of the North-Eastern Administrative District of Moscow. An analysis of the staffing situation in the outpatient Associations North-East of Moscow in the dynamics of the five-year period revealed that there is still a shortage of personnel in relation to medical and nursing staff, there is also an imbalance in the states cadre of specialists, which greatly complicates the implementation of ongoing reform. Revealed substantial disparities in planned and actual load per physician post for a number of specialties. As part of this study revealed that the bulk of state funds spent on organizing the activities of urban health centers (medical organization of the first level), while the cost per visit remains low and does not reflect the real cost of medical services rendered. All the results obtained may be used in the preparation of regulations in the framework of further health reforms in Moscow.primary health carethree-tier systemthe quality of medical careпервичная медико-санитарная помощьтрехуровневая системакачество организации медицинской помощи1.Приказ Департамента здравоохранения г. Москвы № 38 от 20.01.2012 г. «О мерах по дальнейшему совершенствованию организации оказания амбулаторно-поликлинической помощи взрослому населению города Москвы».2.Шейман И.М., Шишкин С. В. Основные направления модернизации сферы здравоохранения Москвы на среднесрочный период // Москва, 2011. С. 7- 8.3.Линденбратен А.Л., Гришина Н.К., Гриднев О.В. Принципы организации мониторинга основных показателей деятельности амбулаторно-поликлинических учреждений в трехуровневой системе оказания медицинской помощи. Мат-лы межд. науч.-практ. конф. «Организация лечебно-профилактической помощи населению и вызовы глобализации». - М., 2012. С. 222-226.4.Гриднев О.В., Загоруйченко А.А. Доступность организации первичной медико-санитарной помощи в период реформирования амбулаторно- поликлинических учреждений столичного региона// Проблемы социальной гигиены, здравоохранения и истории медицины. - 2015. - № 2. - С. 13-15.